Active NPI
Jeffrey P Abrahams
- Emergency Medicine Physician
- Gig Harbor, WA
National Provider Identifier
1306802558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD60603297
- Practice address
- 3620 Forest Beach Dr NW
Gig Harbor, WA 98335-5850 - Phone
- (310) 993-3457
- NPI assigned
- Apr 25, 2006
- Last updated
- Jun 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD60603297 | WA | Primary |
Addresses
Primary practice location
3620 Forest Beach Dr NW
Gig Harbor, WA 98335-5850
Mailing address
3620 Forest Beach Dr NW
Gig Harbor, WA 98335-5850
Phone (310) 993-3457
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60603297 | Medicaid | WA | |
| 00A409200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60603297 | WA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1306802558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 FOREST BEACH DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983355850",
"telephone_number": "310-993-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 FOREST BEACH DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983355850",
"telephone_number": "310-993-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMS",
"first_name": "JEFFREY",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60603297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD60603297",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A409200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
- 1918 Winter Street Operating Co LLC (Safeway Pharmacy #3321)
- 1918 Winter Street Operating Co LLC (Sav-on Pharmacy #4406)
- A Positive Change
- A. Niazi, DDS, PLLC (Gig Harbor Endodontics, Port Orchard Endodontics)
- Abc Physical Therapy
- Adam Hamawy MD PLLC
- Deborah Jean Adams, MA LMHC
- Sheryl (Sheri) Eva Adams, LICSW
- Affordable Dental Inc
- Dimitri Panagis Aggelidakis, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.